Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.25 / $3,304.56 / $14,482.00	Facility		$1,366.25	$3,304.56	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,415.90 / $2,823.17 / $4,553.68	Facility		$2,415.90	$2,823.17	$4,553.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $824.08 / $1,155.43 / $1,844.64	Facility		$824.08	$1,155.43	$1,844.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.76 / $4,103.00 / $8,783.00	Facility		$869.76	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $824.08 / $1,155.43 / $1,911.00	Facility		$824.08	$1,155.43	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,601.40 / $2,113.85 / $3,000.49	Professional		$1,601.40	$2,113.85	$3,000.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00